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RTF Template

Landesamt Fuer Soziale Dienste Schleswig Holstein

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

Human medicinal products

1. Authorisation Number	:	DE_SH_01_WDA_2024_0015
2. Name of Authorisation Holder	:	Homeofar Pflanzenextrakte GmbH (ORG-100037460 / LOC-100091729)
3. Address(es) of Site(s)	:	Wiesenweg 20, Brandsbek, Felde, Schleswig-Holstein, 24242, Germany

4. Legally registered address of Authorisation Holder	:	Wiesenweg 20, Brandsbek, Felde, Schleswig-Holstein, 24242
5. Scope of authorisation (complete for each site under 4)	:	ANNEX 1
6. Legal basis of authorisation	:	Art. 77(1) of Directive 2001/83/EC
7. Name of responsible officer of the competent authority of the member state granting the wholesaling authorisation	:	Confidential, Confidential
8. Signature	:
9. Date	:	2024-06-14
10. Annexes attached	:	Annex 1 Scope of wholesale distribution authorisation Annex 2 (Optional) Address(es) of contract wholesale distribution sites and their authorisation number Annex 3 (Optional) Name(s) of responsible person(s) Annex 4 (Optional) Date of Inspection on which authorisation was granted Annex 5 (Optional) Additional provisions based on national requirements

ANNEX 1

SCOPE OF WHOLESALE DISTRIBUTION AUTHORISATION

Name and address of the site: Homeofar Pflanzenextrakte GmbH

(ORG-100037460 / LOC-100091729)

, Wiesenweg 20, Brandsbek, Felde, Schleswig-Holstein, 24242, Germany

Human medicinal products

1. MEDICINAL PRODUCTS

1.2. without a Marketing Authorisation in the EEA and intended for EEA market

2. AUTHORISED WHOLESALE DISTRIBUTION OPERATIONS

2.1. Procurement

2.2. Holding

2.3. Supply

Any restrictions or clarifying remarks (for all users): National legal basis of authorisation:
Section 52a (1) German Drug Law (Arzneimittelgesetz - AMG).

Wholesale with non-licensed bulk drugs / starting materials for compounding pharmacies:
- Hydrophilic TCM-Concentrates (hydrophilic concentrates of Traditional Chinese Medicine) as starting materials for compounding pharmacies.

*Art 5 of Directive 2001/83/EC or Art 83 of Regulation EC/726/2004

**Without prejudice to further authorisations as may be required according to national legislation

Union Format for a Wholesale Distribution Authorisation	DE_SH_01_WDA_2024_0015
	Page 1

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